Nelson A M
Mayo Clinic, Rochester, MN 55905.
Postgrad Med. 1989 Apr;85(5):141-2, 147-9. doi: 10.1080/00325481.1989.11700661.
Diagnosis of the cause of joint pain in children depends on the physician's ability to distinguish benign from more serious joint conditions. Benign conditions include trauma, overuse syndromes, hypermobility syndrome, chondromalacia patellae, benign recurrent limb pains, and psychogenic rheumatism. Conditions that require further evaluation and ongoing therapy include Lyme disease, rheumatic fever, juvenile rheumatoid arthritis, neoplastic disease, various orthopedic conditions, infection, seronegative spondyloarthropathies, and the rarer connective tissue diseases. If diagnosed early and treated appropriately, most joint problems of childhood have a very good prognosis.
儿童关节疼痛病因的诊断取决于医生区分良性与更严重关节疾病的能力。良性疾病包括创伤、过度使用综合征、关节活动过度综合征、髌骨软化症、良性复发性肢体疼痛和精神性风湿病。需要进一步评估和持续治疗的疾病包括莱姆病、风湿热、幼年类风湿关节炎、肿瘤性疾病、各种骨科疾病、感染、血清阴性脊柱关节病以及较罕见的结缔组织疾病。如果早期诊断并得到适当治疗，大多数儿童关节问题的预后都非常好。
